Hygiene ;Chapter 40 Question And Correct Answer Latest Exam

Hygiene ;Chapter 40 Question And Correct Answer Latest Exam The client is unresponsive & requires total care by nursing staff. Which assessment does nurse check first before providing special oral care to client? A. Presence of pain B. Condition of the skin C. Gag reflex D. Range of motion - CORRECT ANSWER-C. Gag reflex Client will be positioned in sidelying position w/ head of bed lowered b/c client is at risk for aspiration. absence of gag reflex lets nurse know that client has no natural defense (cough) & is at higher risk for aspiration. The client is in surgery & will be returning to his bed via stretcher. Which bed option reflects that nurse appropriately planned ahead for this client? A. Open bed in low position B. Occupied bed in low position C. Closed bed in high position D. Surgical bed in high position - CORRECT ANSWER-D. Surgical bed in high position Both the placement of linens for surgical bed & placing bed in high position facilitate client's transfer from stretcher into bed. The nurse is observing unlicensed assistive personnel (UAP) perform perineal care for client. Which action indicates that nurse needs to discuss additional teaching with UAP? A. Uses a clean portion of washcloth for each stroke. B. Wipes from pubis to rectum. C. Uses clean gloves